Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | AZ | |
N | 103TS0200X | School Psychologist | AZ |
NPI | 1194851899 |
---|---|
Provider Name | Cindy S Poe |
First Address | Surprise, AZ 85379-5927 |
Second Address | Surprise, AZ 85379-5927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 26/07/2007 |